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A Clinical Study on the Efficacy of Homeopathic Remedies in Bleeding Haemorrhoids

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A Clinical Study on the Efficacy of Homeopathic Remedies in Bleeding Haemorrhoids ©www.similima.com A Clinical study on the Efficacy of Homeopathic Remedies in Bleeding Haemorrhoids Dr. Thanka.R Acknowledgement “Ex nihilo nihil fit” out of nothing, nothing comes except Him, the Alpha and the Omega, the Prime Mover, who is the sum and substance of every being. It is He who has ordained me to part take of the divine task of the healing power. The physician prescribes the medicine but He administers the healing. I offer my very being in thanks giving to the Almighty for making me add my simple string to the divine lute of curing through this work of mine. Next to God, I would like to thank my mother and father for enabling me to become a drop in the ocean of the mystery and the miracle of Homoeopathic practice and contribute my own little might to the saga of Homoeopathic theory and practice through this maiden work. Without a devoted teacher no disciple ever achieved anything. A sincere teacher moulds the mettle and calibre of the students given to her care. I render my heartfelt gratitude and sincere appreciation to my teacher and guide Dr. Aleyamma Thomas, without whose timely guidance, scholarly deliberations and patient discussions, my work would not have been successfully completed. I would like to extend my sincere thanks to Dr. Abdul Rahman, the Principal, Government Homoeopathic Medical College, Thiruvananthapuram for his overall supervision. A special word of appreciation and gratitude to Dr.Jaya, the Superintendent, Government Homoeopathic Medical College Hospital, Thiruvananthapuram for her guidance and support. My cordial thanks to Dr. Nisha Paul, Professor and Head of the Department of Organon of Medicine and Homoeopathic Philosophy for encouraging and enlightening me throughout my work. I owe my special thanks to all the faculty of the Department of Organon of Medicine and Homoeopathic Philosophy for their stimulating suggestions and priceless opinions during the course of my study. I thank Dr. Muraleedharan from the depth of my heart for his rarest inspiration and for unraveling the mystery and matrix of Homoeopathy which helped me to accomplish my work. For the generous and magnanimous gesture of permission and co-operation exercised by the Management, the Principal and the Faculty of Sarada Krishna Homoeopathic Medical College, Kulasekharam, I offer them my immense gratitude. 1 ©www.similima.com I also owe my indebtedness to the teaching and non teaching staff of Government Homoeopathic Medical College, Thiruvananthapuram for what they had been to me during my research work. I deem it a great privilege to offer my heart felt appreciation to all my well wishers, friends, the senior and junior P.Gs for their motivation and interaction which added to my knowledge and skill throughout the period of my study. A physician is like a fish out of water without his patients. They are the Promised Land where he can successfully experiment therapeutic power. I record my all consuming gratitude for their patient co-operation and interaction. LIST OF DIAGRAMS 1. Protomodel of constitution of Henry .E. Sigerist 2. Kinder’s protomodel of temperament 3. Rectum and anal canal 4. Anus showing subcutaneous muscles 5. Anus showing conjoined longitudinal and corrugator cutis ani 6. Anal papillae, crypts and margagnian coloumns 7. Different layers of rectal wall 8. Houston’s valves 9. Coronal section showing anorectal muscles 10. Intermuscular sulcus 11. Blood supply to anorectal area 12. Nervous supply 13. Defecation reflex 14. Stages of Haemorrhoids 15. Figure showing differential diagnosis 16. Rubber band ligation LIST OF COLOUR PLATES 1. Anal Canal-General 2. Digital rectal examination –position and methods 3. Different types of Proctoscope 4. Conditions of differential diagnosis 5. Rubber band ligation 6. Ferguson technique 7. Harmonic Scalpel Haemorrhoidectomy 8. Stapled Haemorrhoidectomy 9. Haemorrhoids LIST OF TABLES 1. Haemorrhoidectomy-Atomizing vs. the CO2 laser 2. Miasmatic representation of rectal symptoms 2 ©www.similima.com 3. Repertorial representation of Haemorrhoids 4. Medicines of Repertorial analysis 5. Parameters for disease criteria for treatment assessment 6. Demographic tables of prevalence of Haemorrhoids in this study 7. Statistical analysis table 8. Master table of 30 cases 9. Medicines used in this study 10. Proforma case record LIST OF GRAPHS I. Showing socio demographic characters of the study group 1. distribution according to age 2. distribution according to sex 3. distribution according to occupation 4. distribution according to economic class 5. distribution according to family history of piles & other diseases 6. distribution according to educational status 7. distribution according to clinical presentation 8. distribution according to predominant miasm II. Showing the effectiveness of treatment 1. distribution according to changes in symptoms 2. distribution according to different medicines used “The physician who is the most successful is he who will first heal for the love of healing who will practice first for the purpose of verifying his knowledge and performing this use for the love of it.” “The perfecting of our science in this new century is becoming an increasingly sad and gloomy business; without professional liberality and friendliness it will continue to be a science for bunglers for another full century.” SAMUEL HAHNEMANN (1755-1843) Every age witnessed the emergence of valiant sages in the different realms of philosophy, literature, arts, science, medicine and treatment. These men were singularly imbued with God- sent intuitive power to challenge and change the existing out moded thoughts and practices. In the field of medicine, also there was born a Messiah instilled with an indomitable spirit for a silent revolution to continue with nature’s preservative and curative power in a miraculous way by altering drastically to the shreds the then existing system of medicine so as to alleviate and mitigate the excruciating sufferings of humanity with a new amazing power of healing practice. That apostle assigned by God with this new vision and mission was Dr. Friedrich Samuel Hahnemann. The maxim “ man is the product of heredity , upbringing , time , and his environment” bears testimony to the life of our founder father Samuel Hahnemann who waged a single handed and relentless battle against the existing ritualistic way of mere treatment and took it on to the 3 ©www.similima.com philanthropic plane of healing where he catered to the mental and emotional matrix of a living being and engendered a unique system of treatment protecting the best interest of humanity. The Homoeopathic system of medicine sprouted from this great man’s impeccable observation, infallible interpretation, rational explanation and scientific construction of simple unknown principle of nature’s law of cure- ‘similia similibus curentur.’ In this noble and lofty system, diseases are treated according to the symptom similarity with single medicine in minute dose which results in rapid, gentle and permanent cure. Every advancement and progress ushered in the field of science and technology was also reflected verily in the realm of modern medicine with its materialistic approach in health, disease and treatment. Sophisticated machines and methods were introduced for the diagnosis and treatment of diseases. This paved the way for the rapid rise of humpty number of specialists, who conceived the system of healing part by part or organ by organ. This resulted in an unprecedented progress of surgery which became the ultimate level of treatment of modern medicine. In surgery, diseases are treated merely as local affection and their removal as cure. But the remission and recurrence of the same disease or its altered form often revealed that such treatment was mere suppression where the internal morbid state existed unabated and smothered. This was foreseen and foretold by far sighted Hahnemann 200 years before. Now the modern medicine itself accepts this dynamic conceptual force of Hahnemann as the truth. Haemorrhoids is one such disease which challenges the modern treatment namely local medication and surgical removal. Half the population suffers from this disease with bleeding, pain, itching, prolapse or altered bowel habits. This causes extreme inconvenience which hurdles and hinders the patient’s daily routine with great mental agony and anxiety. Haemorrhoids caused Napoleon to sit side- saddle, sent President Jimmy Carter to the operating room, and benched baseball star George Brett during the 1980 World Series. Over two thirds of all healthy people reporting for physical examinations have haemorrhoids. Unfortunately a haemorrhoidal condition only tends to get worse over the years, never better. The concept of Ayurveda regarding Haemorrhoids states that it is one among the eight “Maha vyadis” of medicine, obstinate for management because of recurrence and prolonged suffering. They consider their origin to the fault in the “Tridoshas”- the vatha, pitha and kabha. The terminology in use is “Arshas”. They can be of sushka (non-bleeding) and ardra (bleeding) varieties. Regarding the aetiology, the concept is intertwined with the habit of bowel movement (constipation- ‘udavartham’). To the question of treatment it is listed under “Yapyam”- only manageable and not curable. In Homoeopathy, Haemorrhoids are treated as not local but as derangement in the dynamic vital force that are expressed out through signs and symptoms of bleeding, pain, itching and prolapse and are corrected only by means of dynamic medicines,
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